Mitchell Paul James, Chan Ding-Cheng Derrick, Lee Joon-Kiong, Tabu Irewin, Alpuerto Bernardino B
School of Medicine, Sydney Campus, University of Notre Dame Australia, Australia; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK; Synthesis Medical NZ Limited, Pukekohe, New Zealand.
Department of Geriatrics and Gerontology and Department of Internal Medicine, National Taiwan University Hospital, No. 1, Changde St, Taipei, 100, Taiwan.
Best Pract Res Clin Rheumatol. 2022 Sep;36(3):101777. doi: 10.1016/j.berh.2022.101777. Epub 2022 Sep 8.
The current burden of fragility fractures is enormous, and it is set to increase rapidly in the coming decades as humankind enters a new demographic era. The purpose of this review is to consider, in different settings: • The human and economic toll of fragility fractures. • Risk factors for fragility fractures. • Current acute management of fragility fractures. • Current care gaps in both secondary and primary fracture prevention. A summary of global, regional, and national initiatives to improve the quality of care is provided, in addition to proposals for the research agenda. Systematic approaches to improve the acute care, rehabilitation and prevention of fragility fractures need to be developed and implemented rapidly and at scale in high-, middle- and low-income countries throughout the world. This must be an essential component of our response to the ageing of the global population during the remainder of the current United Nations - World Health Organization "Decade of Healthy Ageing".
目前，脆性骨折的负担极为沉重，且随着人类步入新的人口统计学时代，预计在未来几十年内将迅速增加。本综述的目的是在不同背景下探讨：• 脆性骨折对人类和经济造成的损失。• 脆性骨折的风险因素。• 脆性骨折当前的急性处理方法。• 二级和一级骨折预防方面当前存在的护理差距。除了提出研究议程建议外，还总结了改善护理质量的全球、区域和国家举措。需要在全球高收入、中等收入和低收入国家迅速且大规模地制定和实施系统性方法，以改善脆性骨折的急性护理、康复和预防。在当前联合国 - 世界卫生组织“健康老龄化十年”的剩余时间里，这必须成为我们应对全球人口老龄化的重要组成部分。
